Jochananov, Michael

Jochananov, Michael is an individual health care provider with primary practice located at 4175 W 20Th Ave , Hialeah FL 33012-5874. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jochananov, Michael can be contacted via phone (305) 825-0300.

Contact Information

Primary practice address
4175 W 20Th Ave Hialeah FL 33012-5874
Phone: (305) 825-0300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY7251 Florida

Profile Details

NPI number 1710020540
LBN Legal business name Jochananov, Michael
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Mar 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710020540 NPPES
Florida MEDICAID 767638700

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